MEDICARE: MRS. ROSEMARY GREECHAN SEXTON ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	ARNP 9215962	FL

General Provider Information

NPI Number	:	1992008395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSEMARY GREECHAN SEXTON ARNP

Provider Business Mailing Address
First Line	:	1048 N SHORE DR NE
Second Line	:	#3
City	:	ST PETERSBURG
State	:	FL
Zip	:	33701-1438
Country	:	US
Telephone Number	:	727-821-8141
Fax Number	:

Provider Business Practice Location Address
First Line	:	1048 N SHORE DR NE
Second Line	:	#3
City	:	ST PETERSBURG
State	:	FL
Zip	:	33701-1438
Country	:	US
Telephone Number	:	727-821-8141
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2010
Last Update Date	:	12/07/2010

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